TRUSTEES OF TUFTS UNIVERSITY


Address: 1 Kneeland St, Dhs-646, Boston, MA 02111-1527
Phone: 6176366510

TRUSTEES OF TUFTS UNIVERSITY (NPI# 1801938014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801938014
Entity Type Organization
Organization Name TRUSTEES OF TUFTS UNIVERSITY
Other Organization Name TUFTS ORAL PATHOLOGY SERVICES
Practice Address 1 Kneeland St
Dhs-646
Boston
MA 02111-1527
Practice Telephone 6176366510
Practice Fax Number 6176366780
Mailing Telephone 6176366510
Mailing Fax Number 6176366780
Enumeration Date 2007-02-13
Last Update Date 2020-04-08
Authorized Official Name LISA GATELY (CREDENTIALING)
Authorized Official Telephone 6176366505
Is Organization Subpart Y
Parent Organization Name TRUSTEES OF TUFTS UNIVERSITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
MA 110000011O 05
BLUE CROSS BLUE SHIELD 228200 01

Other Provider/Organization Names

Other Name Type Code
Tufts Oral Pathology Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508169830 Trustees of Tufts University Clinic/Center 212 Freight Shed Road, Baldwinville, MA 01436 2010-12-08
1740405356 Trustees of Tufts University Clinic/Center 450 Maple St, Hathorne, MA 01937 2007-04-17
1508206012 Trustees of Tufts University Clinic/Center 1275 Elm St, West Springfield, MA 01089-1820 2013-06-28
1144514027 Trustees of Tufts University Clinic/Center 3 Randolph St, Bradford Building, 2nd Floor, Canton, MA 02021-2351 2011-06-08
1720381064 Trustees of Tufts University Clinic/Center 1 Kneeland Street, 3rd Floor, Boston, MA 02111 2010-12-08
1467755702 Trustees of Tufts University Clinic/Center 22 Hillside Ave, Groton, MA 01450 2010-12-08
1760608608 Trustees of Tufts University Clinic/Center 175 State Ave, Palmer, MA 01069-1843 2007-04-18
1871719104 Trustees of Tufts University Clinic/Center 200 Trapelo Rd, Waltham, MA 02452-6332 2007-04-17
1295959849 Trustees of Tufts University Clinic/Center 200 Trapelo Rd, Waltham, MA 02452-6332 2007-04-13
1104040757 Trustees of Tufts University Clinic/Center 81 Hope Ave, Worcester, MA 01603-2212 2007-04-13

Office Location

Street Address 1 KNEELAND ST
DHS-646
City BOSTON
State MA
Zip Code 02111-1527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952385742 Edward Henry Fidrocki Dentist 1 Kneeland St, Room 322 A, Boston, MA 02111 2005-12-05
1356942296 Maria Diluigi Dental Hygienist 1 Kneeland St, Boston, MA 02111-1527 2020-11-06
1043818891 Sultan Albeshri Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-10-14
1699389015 Nader Naguib Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-09-02
1811508443 Reem Alajlan Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-08-17
1306457437 Ranmeek Kaur Dentist 1 Kneeland St, Boston, MA 02111-1527 2020-08-12
1326656166 Shivangi Tyagi Dentist 1 Kneeland St, Boston, MA 02111-1527 2020-07-17
1790302503 Sebastien Richard Salzmann Dentist 1 Kneeland St, Boston, MA 02111-1527 2020-06-26
1699391607 Adam Lowenstein Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-06-25
1720604317 John Paul Ramos De Guzman Student in an Organized Health Care Education/Training Program 1 Kneeland St, Boston, MA 02111-1527 2020-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1558978957 Tien-hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1548883465 Elizabeth Carter Stapleton Dentist Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Surgery 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
1033771944 Faris Khalifa Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 5th Floor, Boston, MA 02111 2019-07-01
1609437276 Blair Hanna Ray Farbstein Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 3rd Floor, Boston, MA 02111 2019-06-25
1821658709 Jennifer Drummond Internal Medicine 800 Washington St. Gme Office, Boston, MA 02111 2019-06-13
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528688041 Orig3n, Inc. Clinical Medical Laboratory 27 Drydock Ave Ste 3, Boston, MA 02210-2382 2020-04-24
1033454715 Parabase Genomics Inc Clinical Medical Laboratory 27 Drydock Ave, 2nd Floor, Boston, MA 02210-2377 2012-12-06
1174701189 Trustees of Boston University Clinical Medical Laboratory 24 Cummington St, Room 724, Boston, MA 02215-2425 2008-02-01
1720299357 Oncolab, Inc Clinical Medical Laboratory 36 The Fenway, Boston, MA 02215-4006 2007-05-25
1053463448 Childhood Lead Screening Laboratory Clinical Medical Laboratory 305 South St, Boston, MA 02130-3515 2007-01-17
1538478797 Tufts Medical Center Clinical Medical Laboratory 800 Washington St, 802, Boston, MA 02111-1552 2010-10-05
1295041044 Texana Labs Inc Clinical Medical Laboratory 700 Albany St, Boston, MA 02118-2518 2010-08-30
1417157934 Rvp Clinical Medical Laboratory 180 Brookline Ave, Suite 248, Boston, MA 02215-3938 2007-07-23
1912059908 Mycobacteriology Laboratory Clinical Medical Laboratory 305 South St, Boston, MA 02130-3515 2007-01-18
1437215753 Caritas Excell Clinical Laboratories, Inc. Clinical Medical Laboratory 736 Cambridge St, Boston, MA 02135-2907 2006-12-29
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Competitor

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City BOSTON
Zip Code 02111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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